Historique
Périodique
Clinicians'views on treating posttraumatic stress disorder and substance use disorder
(Opinions de cliniciens sur le traitement des troubles liés au stress post-traumatique et des troubles liés à l'usage de substances psychoactives)
Auteur(s) :
NAJAVITS L. M.
Année
2002
Page(s) :
79-85
Langue(s) :
Anglais
Refs biblio. :
21
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
TROUBLE DE STRESS POST-TRAUMATIQUE
;
COMORBIDITE
;
DEPENDANCE
;
COHORTE
;
TRAITEMENT
;
PERCEPTION
;
PERSONNEL MEDICAL
Thésaurus géographique
ETATS-UNIS
Note générale :
Journal of Substance Abuse Treatment, 2002, 22, (2), 79-85
Note de contenu :
tabl.
Résumé :
ENGLISH :
The dual diagnosis of posttraumatic stress disorder (PTSD) and substance use disorder (SUD) is reported to be both highly prevalent and highly challenging. In this study, 147 clinicians were surveyed on their degree of difficulty and gratification in working with each disorder (PTSD, SUD) and their combination; specific types of difficulties and gratifications; and personal and professional characteristics. The dual diagnosis was perceived as more difficult than either disorder alone; but, interestingly, gratification in the work was higher than its difficulty. Areas of greatest difficulty were clients' self-destructiveness, case management, and dependency; areas of greatest gratification were teaching new coping, developing expertise, and helping clients achieve abstinence. In general, difficulty and gratification appeared to be separate constructs, rather than simply opposites. Those finding the work most difficult were more likely to be in a mental health setting and to have no personal history of trauma. Clinical implications are discussed. (Editor's abstract.)
Affiliation :
McLean Hosp. Belmont, MA. E-mail : Lnajavits@hms.harvard.edu
Etats-Unis. United States.
Etats-Unis. United States.